Malvern Area Kiwanis

3rd Annual Truck Show

Benefiting Children

Registration Form
Saturday, September 12, 2015
8:00am 3:00pm
Malvern City Park

Select 1 CATEGORY for

registration:
1

Chevrolet

Dodge

Ford

GMC

Hummer

Jeep

Custom

Foreign

Hot Rod

10

Low Rider

11

Modified

12

Rat Rod

20022015

1989 2001

1976 1988

1963
1975

1950
1962

1937
1949

1924
1936

H
1911
1923

I
1910
older

Judging will be done for each type / year category, Custom Made, Modified. Additionally there will be 3 winners for Best of Show, Tallest Truck, and
Widest Tire. (1 each for standard models, modified, and local dealer categories).
Name: ______________________________ Vehicle Description: ___________________________ Club Affiliations: _____________
Address:______________________________________
E-mail address_________________________

City, ________________ State: ______ ZIP __________ Ph# ___________

Debit / Credit Cards accepted. 501.590.4558

**In signing and submitting this entry form, entrants do expressly release, and discharge sponsors and affiliates of said event for damage, injury or loss
which may be suffered in conjunction with said show.